Fjeldsoe Brianna S, Vitangcol Kathryn, Lamerton Tayla, Sennett Melanie, Helton Daniel, Hardy Fotini, Wyder Marianne, Cunningham Zoe, McGrath Martina O, Roseby Morag, McLean Andrew, Brown Scott, Lawler Sheleigh
Enable Health Consulting, The University of Queensland (School of Public Health (Adjunct)), Brisbane, Queensland, Australia.
Enable Health Consulting, Brisbane, Queensland, Australia.
Community Ment Health J. 2025 Feb;61(2):382-393. doi: 10.1007/s10597-024-01397-x. Epub 2025 Jan 16.
The Clubhouse Model of Psychosocial Rehabilitation provides non-clinical social support for adults living with a diagnosed mental illness or self-reported mental ill-health (referred to as 'members'). The Stepping Stone Clubhouse in Brisbane, Australia was evaluated between August 2022 and August 2023 using a participatory action research approach. Data was sourced from member surveys, member interviews, and an existing Clubhouse Member Database. Outcomes included members' self-reported psychosocial recovery, social connectedness, quality of life, frequency of hospitalizations, and their attainment of employment and/or education aspirations. In this cross-sectional evaluation, it was hypothesized that existing members (membership: 11 months - 28 years) would report better outcomes than new members (membership: 0-14 days). In total, 161 existing members and 76 new members completed a survey. Twenty-three members also participated in a semi-structured interview. Participants were aged on average 47.1 years (± 13.5), 62% were male and 31% had a primary diagnosis of schizophrenia/schizoaffective disorder. Existing members reported better scores than new members for: three of the four psychosocial recovery domains (Functional Recovery: 78.0% vs. 74.0%, p = 0.01; Symptom Management Recovery 69.5% vs. 65.2%, p = 0.03; Social Recovery 74.3% vs. 70.0%, p = 0.01); social connection with other members (38.1 vs. 32.2, p = 0.03) and staff (44.5 vs. 38.1, p = 0.02); quality-of-life summary scores (4.6 vs. 4.1, p = 0.01), and rates of mental health-related hospitalization (16% vs. 41%, p < 0.01). Existing members were also more likely to be in some form of employment, compared to new members (p = 0.01). There were no significant differences between existing and new members for their educational goals, with 58% of each group wanting further formal education. Stepping Stone members have better outcomes than members who have recently joined the Clubhouse. This evaluation was successful because it intentionally built evaluative capacity and empowered member-centric processes.
心理社会康复俱乐部模式为患有确诊精神疾病或自我报告有心理健康问题的成年人（称为“成员”）提供非临床社会支持。澳大利亚布里斯班的垫脚石俱乐部在2022年8月至2023年8月期间采用参与式行动研究方法进行了评估。数据来源于成员调查、成员访谈以及现有的俱乐部成员数据库。结果包括成员自我报告的心理社会康复情况、社会联系、生活质量、住院频率以及他们就业和/或教育愿望的实现情况。在这项横断面评估中，研究假设现有成员（会员资格：11个月至28年）的结果会比新成员（会员资格：0至14天）更好。共有161名现有成员和76名新成员完成了一项调查。23名成员还参与了半结构化访谈。参与者的平均年龄为47.1岁（±13.5），62%为男性，31%的主要诊断为精神分裂症/分裂情感性障碍。在以下方面，现有成员的得分高于新成员：四个心理社会康复领域中的三个（功能康复：78.0%对74.0%，p = 0.01；症状管理康复69.5%对65.2%，p = 0.03；社会康复74.3%对70.0%，p = 0.01）；与其他成员的社会联系（38.1对32.2，p = 0.03）和与工作人员的社会联系（44.5对38.1，p = 0.02）；生活质量总结得分（4.6对4.1，p = 0.01）以及与心理健康相关的住院率（16%对41%，p < 0.01）。与新成员相比，现有成员也更有可能处于某种形式的就业状态（p = 0.01）。现有成员和新成员在教育目标方面没有显著差异，每组中有58%的人希望接受进一步的正规教育。垫脚石俱乐部的成员比最近加入俱乐部的成员有更好的结果。这项评估是成功的，因为它有意培养了评估能力并赋予了以成员为中心的流程权力。
